Individual
BAO G VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 N GLEBE RD STE 160, ARLINGTON, VA 22201-5758
(571) 492-3045
(703) 780-0461
Mailing address
1005 N GLEBE RD STE 160, ARLINGTON, VA 22201-5758
(571) 492-3045
(703) 780-0461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101255065
VA
207R00000X
Internal Medicine Physician
D0074313
MD
Other
Enumeration date
04/24/2009
Last updated
11/27/2023
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